3179 Alden Pond Lane , -SEWER &WATER'PEI 'T , . oFfIcE ' USEONLY
CITY OF EAGAN
METER # - PERNi1FT DATE 8/11/89
3834 Pint R . CHIP A*. WATER PERMCT # O ?8�
Win, i1AN 552 =1$7
.,, METER SIZE B.P. RE 1PT # C 299$
ISSUE DATE B.P. RECEIPTOATE 711-8/89
PRY .._ BOOSTER PUtf
SITE ADDRESS 317? men. P 1-* PERMIT REQUESTED
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`! SEWER ATER TAPS
- APPLICANT " ' ps c 3 . = ; ,,CattiatT4CtiOrt „ 4712C
ADDRESS. 711 ; k9 4 ,1 12 tY Rt3a4 COMMAND =� N7tAL
CtTY, STATE
l� . 1 ile ' Z {E'° 55113
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PHONE 61= E1At ____ EXISTING
PLUMBER: Jar _ , A ` :Inc
ADDRESS 1Q4 H2tht a 152 ` 1 AGREE TO COMPLY WITH CITY OF
CITY, STATE 1 Gro , ZIP 55369 EAGAN ORDINANCES:
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424 -'-6
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STATE ZOPe rl nq ZIP 5.51.x.3
ra .a” �; ,a DAY P NG !TORN SEWER : MIT$$ CONTACT
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